Table 1.
Your Score | Your Score | |||||
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1. Your age group? |
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6. Are you currently taking medication for high blood pressure? |
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Under 35 years |
0 points |
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No |
0 points |
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|
35 – 44 years |
2 points |
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Yes |
2 points |
___ |
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45 – 54 years |
4 points |
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|
|
|
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55 – 64 years |
6 points |
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|
|
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65 years or over |
8 points |
___ |
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2. Your gender? |
7. Do you currently smoke cigarettes or any other tobacco products on a daily basis? |
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Female |
0 points |
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No |
0 points |
|
|
Male |
3 points |
___ |
Yes |
2 points |
___ |
|
3. Ethnicity/Country of birth: |
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8. How often do you eat vegetables or fruit? |
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3a. Are you of Aboriginal, Torres Strait Islander, Pacific Islander or Maori descent? |
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Everyday |
0 points |
|
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No |
0 points |
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Not everyday |
1 point |
___ |
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Yes |
2 points |
___ |
9. On average, would you say you do at least 2.5 hours of physical activity per week (for example, 30 minutes a day on 5 or more days a week)? |
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3b. Where were you born? |
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Yes |
0 points |
|
|
Asia (including the Indian sub-continent), Middle East, North Africa, Southern Europe |
2 points |
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No |
2 points |
___ |
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Other |
0 points |
___ |
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4. Have either of your parents, or any of your brothers or sisters been diagnosed with diabetes (type 1 or type 2)? |
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10. Your waist measurement taken below the ribs (usually at the level of the navel)? |
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No |
0 points |
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For those of Asian or Aboriginal or Torres Strait Islander descent: |
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Yes |
3 points |
___ |
Men |
Women |
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5. Have you ever been found to have high blood glucose (sugar) (for example, in a health examination, during an illness, during pregnancy)? |
|
|
Less than 90 cm |
Less than 80 cm |
0 points |
|
No |
0 points |
|
90 – 100 cm |
80 – 90 cm |
4 points |
|
Yes |
6 points |
___ |
More than 100 cm |
More than 90 cm |
7 points |
|
|
|
|
For all others: |
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|
|
|
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Men |
Women |
|
|
|
|
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Less than 102 cm |
Less than 88 cm |
0 points |
|
|
|
|
102 – 110 cm |
88 – 100 cm |
4 points |
|
|
|
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More than 110 cm |
More than 100 cm |
7 points |
___ |
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Subtotal |
|
Subtotal |
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Your risk of developing Type II diabetes within 5 years *: |
Total Risk Score |
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6 - 11: Increased risk |
Increased risk of developing type 2 diabetes |
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12 or more: High risk | May have undiagnosised type 2 diabetes or be at high risk of developing type 2 diabetes |
* The overall score may overestimate the risk of diabetes in those aged less than 25 years and underestimate the risk of diabetes in people of Aboriginal and Torres Strait Islander descent.